Healthcare Provider Details

I. General information

NPI: 1245736669
Provider Name (Legal Business Name): DANIEL LEWIS GOLDEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2018
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8530 W SUNSET RD STE 330
LAS VEGAS NV
89113-2247
US

IV. Provider business mailing address

8530 W SUNSET RD STE 330
LAS VEGAS NV
89113-2247
US

V. Phone/Fax

Practice location:
  • Phone: 702-582-5324
  • Fax: 725-257-6932
Mailing address:
  • Phone: 702-582-5324
  • Fax: 725-257-6932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number21395
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number21395
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: